<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('新增AgentPaid')" />
</head>
<body class="white-bg">
    <div class="wrapper wrapper-content animated fadeInRight ibox-content">
        <form class="form-horizontal m" id="form-agentPaid-add">
            <div class="form-group">    
                <label class="col-sm-3 control-label">结算流水号：</label>
                <div class="col-sm-8">
                    <input name="settleSerial" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">生成日期：</label>
                <div class="col-sm-8">
                    <input name="auditdate" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">代理编号：</label>
                <div class="col-sm-8">
                    <input name="agentNum" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">代理名称：</label>
                <div class="col-sm-8">
                    <input name="agentName" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">类型 0 代理商直推分润：</label>
                <div class="col-sm-8">
                    <select name="profitType" class="form-control m-b">
                        <option value="">所有</option>
                    </select>
                    <span class="help-block m-b-none"><i class="fa fa-info-circle"></i> 代码生成请选择字典属性</span>
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">周期 0 日 1月：</label>
                <div class="col-sm-8">
                    <input name="cycle" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">开户行名称[账户所属支行]：</label>
                <div class="col-sm-8">
                    <input name="bankName" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">开户人名称：</label>
                <div class="col-sm-8">
                    <input name="screenName" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">开户行账号：</label>
                <div class="col-sm-8">
                    <input name="screenNum" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">开户省：</label>
                <div class="col-sm-8">
                    <input name="province" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">开户市：</label>
                <div class="col-sm-8">
                    <input name="city" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">支付系统行号：</label>
                <div class="col-sm-8">
                    <input name="bankNum" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">账户类型 ：</label>
                <div class="col-sm-8">
                    <input name="nature" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">结算金额：</label>
                <div class="col-sm-8">
                    <input name="money" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">付款时间：</label>
                <div class="col-sm-8">
                    <input name="payTime" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">出款状态 -1：已上送 0：待处理：</label>
                <div class="col-sm-8">
                    <div class="radio-box">
                        <input type="radio" name="status" value="">
                        <label th:for="status" th:text="未知"></label>
                    </div>
                    <span class="help-block m-b-none"><i class="fa fa-info-circle"></i> 代码生成请选择字典属性</span>
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">备注：</label>
                <div class="col-sm-8">
                    <input name="note" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">总行名称：</label>
                <div class="col-sm-8">
                    <input name="bankHeadname" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">展示结算账户号：</label>
                <div class="col-sm-8">
                    <input name="showScreennum" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">银联记账日期：</label>
                <div class="col-sm-8">
                    <input name="acctdate" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">单号：</label>
                <div class="col-sm-8">
                    <input name="ordernumber" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">税前利润：</label>
                <div class="col-sm-8">
                    <input name="profitBerfortax" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">税金：</label>
                <div class="col-sm-8">
                    <input name="taxMoney" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">0传统 1 Mpos  2-智能Pos 3-机构 4-电签POS：</label>
                <div class="col-sm-8">
                    <select name="agentType" class="form-control m-b">
                        <option value="">所有</option>
                    </select>
                    <span class="help-block m-b-none"><i class="fa fa-info-circle"></i> 代码生成请选择字典属性</span>
                </div>
            </div>
        </form>
    </div>
    <th:block th:include="include :: footer" />
    <script th:inline="javascript">
        var prefix = ctx + "AgentPaid/agentPaid"
        $("#form-agentPaid-add").validate({
            focusCleanup: true
        });

        function submitHandler() {
            if ($.validate.form()) {
                $.operate.save(prefix + "/add", $('#form-agentPaid-add').serialize());
            }
        }
    </script>
</body>
</html>